We report a rare case of a limited chronic dissection of the ascending aorta that was accidentally discovered at operation performed for severe aortic stenosis and moderate to severe dilatation of the ascending aorta. Preoperative investigations such as transoesophageal echocardiography and cardiac catheterization missed the diagnosis of dissection. Intraoperative findings included a 3.5 cm ecc...

BACKGROUND Acute aortic dissection is an extreme emergency that is generally manifested by violent chest pain irradiating to a patient's back and abdomen. Paraplegia due to spinal cord ischemia and infarction as a presenting manifestation of aortic dissection has been found in 2 to 5% of patients. However, painless paraplegia is exceedingly rare and limited to a few case reports in the literatu...

Page Preamble ..................................................................1642 Introduction.............................................................1643 Aortic wall disease...................................................1643 Inherited disease ..................................................1643 Aortic disease in infancy and childhood .............1645 Ageing of the aorta............

We report a very rare case of ascending aortic replacement complicated by acute supravalvular aortic stenosis. A 53-year-old man was referred to our Institution for evaluation of a systolic murmur and congestive heart failure. He had undergone elective ascending aortic replacement one month previously due to acute type A aortic dissection. On admission, transesophageal echocardiography revealed...

Abstract Introduction Stanford type A aortic dissection associated with ST–segment elevation myocardial infarction (STEMI) is a rare event high mortality rate. Emergency coronary angiography and antithrombotic therapy expose to greater risk of complications mortality. Case presentation: 57–year–old heavy smoker gentleman no previous medical history was admitted the emergency department due sudd...

Spontaneous coronary artery dissection is a rare and generally fatal disease. It usually occurs in women during the post-partum period or women taking oral contraceptives. Treatment depends on the clinical presentation and the results of coronary angiography. Beating heart myocardial revascularization is particularly useful in this case, as it allows coronary artery bypass graft to be performed...

Dissection of the sinus of Valsalva is a rare and life-threatening event. It often occurs during percutaneous coronary intervention in the right coronary artery (RCA). Dissection flap usually involves the RCA and the right sinus of Valsalva. Here we report two extremely rare cases of spontaneous dissection limited to the non-coronary sinus of Valsalva, causing severe aortic valve regurgitation:...